Member of the Year Nomination Form 
Our members are working diligently to promote the union and their coworkers 




* Nomination void if the nominee has not been a member in good standing for a minimum of one year
Name of Candidate  *
Candidate Title  *
School District / Employer  *
Name of Nominator  *
Phone number  *
Email 
Describe Examples of how this nominee shows motivation for the job, a willingness to work with others, and represents the excelsim in their performance  *
Please describe how the nominee is involved in their community. (Volunteering, promoting unity in the workplace, producing positive results for students, etc,) *
Describe how the nominee is involved in union activities. (Bargaining unit activities, increasing membership, etc)
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